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Organization
DOMINION BEHAVIORAL HEALTHCARE
Active
Organization
DOMINION BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE ZITO HENSLEY LCSW (OWNER)
(804) 270-1124
Entity
Organization
Contact information
Practice address
6501 MECHANICSVILLE TPKE, SUITE 100, MECHANICSVILLE, VA 23111-3698
(804) 270-1124
(804) 270-2090
Mailing address
6501 MECHANICSVILLE TPKE, SUITE 100, MECHANICSVILLE, VA 23111-3698
(804) 270-1124
(804) 270-2090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904000405
VA
Other
Enumeration date
07/18/2006
Last updated
04/09/2013
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